Nursing Elites

1. Which part of the brain is responsible for higher brain functions, such as thought and action?

• A. Amygdala
• B. Brain stem
• C. Cerebellum
• D. Cerebrum

Correct answer: D

Rationale: The cerebrum is the correct answer as it is responsible for higher brain functions like thought and action. The amygdala (Choice A) is involved in emotions and emotional responses, not higher brain functions. The brain stem (Choice B) controls basic life functions such as breathing and heart rate, not higher brain functions. The cerebellum (Choice C) is mainly responsible for motor control and coordination, not higher brain functions like thought and action.

2. Which condition involves an overactive immune system attacking healthy tissues, leading to inflammation and damage?

• A. Immunodeficiency
• B. Autoimmune disease
• C. Allergy
• D. Cancer

Correct answer: B

Rationale: Autoimmune diseases occur when the immune system mistakenly targets and attacks healthy tissues in the body, leading to inflammation and damage. This is different from immunodeficiency, where the immune system is weakened and unable to effectively protect the body against infections. Allergies involve an exaggerated immune response to harmless substances, while cancer is characterized by uncontrolled cell growth. Therefore, the correct answer is autoimmune disease (Choice B) as it specifically describes the scenario of an overactive immune system attacking healthy tissues, distinguishing it from the other conditions listed.

3. How does RNA polymerase differ from DNA polymerase?

• A. Both enzymes are identical in function and structure.
• B. RNA polymerase does not require a primer to initiate RNA synthesis.
• C. RNA polymerase can synthesize both RNA and DNA.
• D. RNA polymerase can only synthesize RNA, unlike DNA polymerase.

Correct answer: B

Rationale: Rationale: A) This statement is incorrect. RNA polymerase and DNA polymerase are not identical in function and structure. They have different roles in the cell. B) This statement is correct. Unlike DNA polymerase, RNA polymerase does not require a primer to initiate RNA synthesis. RNA polymerase can start the synthesis of RNA de novo. C) This statement is incorrect. RNA polymerase is specialized for synthesizing RNA, not DNA. DNA polymerase is responsible for synthesizing DNA. D) This statement is correct. RNA polymerase can only synthesize RNA, while DNA polymerase is responsible for synthesizing DNA.

4. What is the role of the pancreas in regulating blood sugar levels?

• A. To produce insulin only
• B. To produce both insulin and glucagon
• C. To store glucose
• D. To produce adrenaline

Correct answer: B

Rationale: The correct answer is B. The pancreas plays a crucial role in regulating blood sugar levels by producing both insulin and glucagon. Insulin helps lower blood sugar levels by promoting the uptake of glucose into cells, while glucagon raises blood sugar levels by stimulating the release of stored glucose into the bloodstream. Choice A is incorrect because the pancreas produces both insulin and glucagon. Choice C is incorrect because the pancreas does not store glucose; instead, it regulates glucose levels. Choice D is incorrect because adrenaline is produced by the adrenal glands, not the pancreas, and is not directly involved in regulating blood sugar levels.

5. The average life expectancy at birth in the United States at the beginning of the 21st century was about 75 years. The average life expectancy at birth in the middle of the 19th century was only about 40 years. Which of the following factors are likely to have contributed to the longer life expectancy in the 21st century? (Select the one that does not apply)

• A. The human body has evolved to become more resilient to its environment.
• B. There have been numerous advances in medical technology and treatments.
• C. Higher standards of basic cleanliness have helped people avoid illness.
• D. The creation of vaccines has nearly eliminated certain diseases that were once deadly.

Correct answer: A

Rationale: Medical advances, higher standards of cleanliness, and the creation of vaccines have all significantly contributed to the increase in life expectancy over time. While human evolution plays a role in adaptation to the environment over millennia, it is not a primary factor that has led to the substantial increase in life expectancy within a few centuries. The human body's evolution is a slow process that occurs over generations, while the advancements in medical technology, cleanliness, and vaccines have had a more immediate and direct impact on improving life expectancy.

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